MS. TAMERA S KRUKIEL (NPI# 1871512459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871512459 |
| Entity Type | Individual |
| Full Name | MS. TAMERA S KRUKIEL |
| Credential | N.P. |
| Practice Address |
2104 W Laburnum Ave Richmond VA 23227-4357 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8043548108 |
| Practice Fax Number | 8043548075 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024166698 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024166698 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010228395 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall Street, Internal Medicine-primary Care, Richmond, VA 232980510 | 8043548108 | 8043548075 |
| Street Address |
2104 W LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23227-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699738468 | Marie F Gerardo | Nurse Practitioner | 2104 W Laburnum Ave, Richmond, VA 23227-4357 | 2006-04-11 |
| 1477099430 | Shirley Constantino | Nurse Practitioner | 2104 W Laburnum Ave, Richmond, VA 23227-4357 | 2017-01-16 |
| 1487106381 | Megan A. Stucke | Social Worker | 2104 W Laburnum Ave, Richmond, VA 23227-4357 | 2016-10-27 |
| 1245637818 | Angella M.a. Russell | Nurse Practitioner | 2104 W Laburnum Ave, Richmond, VA 23227 | 2014-11-26 |
| 1588009351 | Kathryn Ansell Brennan | Internal Medicine | 2104 W Laburnum Ave, Richmond, VA 23227 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334640 | Westminster Canterbury Corporation | Hospice Care, Community Based | 1600 Westbrook Avenue, Richmond, VA 23227 | 2018-11-07 |
| 1902324890 | Cynthia Elaine Taylor | Non-emergency Medical Transport (VAN) | 8344 Hawk Nest Drive, Richmond, VA 23227 | 2017-08-31 |
| 1144680885 | Salveo Diagnostics Inc | Clinical Medical Laboratory | 8751 Park Central Drive, Suite 200, Richmond, VA 23227 | 2016-02-23 |
| 1275904609 | Autastic Avenues LLC | Speech-Language Pathologist | 1301 Robin Hood Road, Richmond, VA 23227 | 2015-10-12 |
| 1003243627 | Clifton Linwood Parker | Internal Medicine | 8300 Fulham Drive, Richmond, VA 23227 | 2013-09-27 |
| 1720424864 | Linda Kathleend Jeffords-knight | Speech-Language Pathologist | 1719 Bellevue Avenue, Richmond, VA 23227 | 2013-05-16 |
| 1285982090 | Talibah Mims | Registered Nurse | 307 Hummingbird Road, Richmond, VA 23227 | 2012-08-28 |
| 1245591890 | Wanalee Chuasiriporn Betts | Nurse Practitioner | 5620 Brook Rd., Richmond, VA 23227 | 2012-05-30 |
| 1902138100 | Connections for Life Counseling, LLC | Counselor | 7400 Brook Road, Suite C, Henrico, VA 23227 | 2010-02-12 |
| 1336470988 | Ruth Arnetta Jones | Family Medicine | 7515 Chamberlayne Ave., Henrico, VA 23227 | 2010-01-21 |
| Find all providers in zip 23227 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017010 | Maria Nariza Hinds | Nurse Practitioner | 23423 San Ricci Ct, Richmond, TX 77406-2235 | 2019-01-28 |
| 1306318712 | Chidiogo Ebenmelu | Nurse Practitioner | 6706 Laguna Trace St, Richmond, TX 77407-2066 | 2018-12-23 |
| 1073095899 | Geraldine O Ezeani | Nurse Practitioner | 21139 Granite Trail Ln, Richmond, TX 77407-7184 | 2018-08-29 |
| 1144745340 | Kate Ekaette Christopher | Nurse Practitioner | 5007 Quill Rush Way, Richmond, TX 77407-3688 | 2017-08-08 |
| 1235598970 | Stephanie Schuster | Nurse Practitioner | 3009 Douglasdale Rd, Richmond, VA 23221-3615 | 2016-02-22 |
| 1518346527 | Marilyn Frances Martin | Nurse Practitioner | 6023 Vicki Lynn Ln, Richmond, TX 77406-8638 | 2015-05-22 |
| 1558753137 | Adeola Ajayi | Nurse Practitioner | 1515 Brady Creek Ln, Richmond, TX 77406-8264 | 2015-02-19 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1649513540 | Wadeha Omega Taylor | Nurse Practitioner | 6206 Forest Glade Dr, Richmond, TX 77469-6138 | 2013-03-29 |
| 1346562212 | Lisa N. Lee | Nurse Practitioner | 1712 East Broad Street, Richmond, VA 23223 | 2010-02-19 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.